Pulmonary venous developmental anomalies have been evaluated conventionally with echocardiography and catheter angiography, multidetector CT angiography (MDCTA) and MR angiography are playing increasing roles in their characterisation. Here, we report a rare case of a 15-year-old boy, who presented with cyanosis and dyspnoea which he had had since childhood. Cardiac type of total anomalous pulmonary venous connection (TAPVC) was diagnosed and demonstrated using MDCTA in this case. Only a few case reports describing the MDCTA findings in cardiac TAPVC are available in the published literature.